Integrated single-cell and bulk sequencing analyses with experimental validation identify the prognostic and

Peng Ma1, Weili Sun2,3

  • 1Department of Gastroenterology, Jingzhou Hospital Affiliated to Yangtze University, Jingzhou, Hubei Province, People's Republic of China.

Abstract

Insights

CD226 enhances anti-tumor immunity and predicts immunotherapy response across cancers. Targeting CD226 shows promise for improving cancer treatment strategies.

Area of Science:

  • Immunology
  • Oncology
  • Genomics

Background:

  • CD226 (DNAM-1) is an activating receptor on CD8+ T and NK cells.
  • CD226 deficiency impairs tumor suppression; enhanced expression correlates with better immune checkpoint blockade (ICB) efficacy.
  • The pan-cancer role of CD226 in immunity and therapy response remains largely unexplored.

Purpose of the Study:

  • Investigate CD226's biological functions and role in tumor immunity.
  • Determine CD226's potential as a biomarker for prognosis and immunotherapy response in pan-cancer.
  • Explore CD226's association with immune cell function and therapeutic drug response.

Main Methods:

  • Analyzed CD226 expression, prognosis correlation, immune infiltration, tumor heterogeneity, and stemness using single-cell and bulk sequencing.
  • Performed gene set enrichment analysis (GSEA) for functional insights.
  • Validated CD226 expression and function in tumor-infiltrating CD8+ T and NK cells using a murine melanoma model.

Main Results:

  • CD226 expression varied across cancers, with higher levels linked to better outcomes.
  • CD226 correlated with immune infiltration, stemness, and heterogeneity.
  • Single-cell analysis revealed CD226 expression differences on T cell subsets; it was associated with T cell activation, NK cell immunity, and cytotoxicity.
  • CD226 predicted response to ICB and targeted therapies.

Conclusions:

  • CD226 is a potential biomarker for prognosis, immune infiltration, CD8+ T cell function, and immunotherapy response.
  • Modulating CD226 expression and function alongside ICBs offers a promising strategy for cancer immunotherapy.

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